ISO 9001:2008 CERTFIED Dept of OBGYN...SATNAM HOSPITAL
Saurashtra’s BEST Hospital For Mother –Child –and Women Care At RAJKOTWelcomes YOU……………………………………… Akshar Marg Opp: Swaminarayan Temple Kalawad Road RAJKOT Phone Lines – 2450685-86-87-88 Dept of OBGYN...SATNAM HOSPITAL
The Team- Paediatrics and Gynecs Dept of OBGYN...SATNAM HOSPITAL
Staff- The force behind Dept of OBGYN...SATNAM HOSPITAL
Dr.Sudhir Shah Dr.Beena Trivedi Department of Obstetrics and Gynecology SATNAM HOSPITAL RAJKOT
GOD could not be everywhere and therefore He made mothers No other relation in this world is as beautiful, pure & selfless as that between a mother and her child Dept of OBGYN...SATNAM HOSPITAL
Pregnancy is not a disease.Pregnancy is a period of celebration when every familymember have to be prepare to welcome the new guest intheir family.Positive attitude plays the lead role in that period.There are some common complains arise during pregnancy,but instead of taking it as a stressfull situation, every womenhas to enjoy that situation, it leads to minimum complains &complications afterwards.
Early Signs and Symptoms Amenorrhoea : that is delayed menstruation cycle. Nausea and Vomiting Lower Abdominal Pain Dept of OBGYN...SATNAM HOSPITAL
CONFIRMATION Urine Pregnancy Test Per Vaginal Examination Ultra Sonography Dept of OBGYN...SATNAM HOSPITAL
Doctor visits Once every month upto 6 months of pregnancy. Once every 15 days in the 7th & 8th month. Once every week in the 9th month. Dept of OBGYN...SATNAM HOSPITAL
In this presentatation Symptoms: most common in 1st, 2nd & 3rd trimester of pregnancy. Food & Diet Selfcare Medical care Exercise Dept of OBGYN...SATNAM HOSPITAL
Morning Sickness Common in first 3 monthToast, biscuits to decrease nausea Take medicines as advised Avoid oily food Have freq small meals Dept of OBGYN...SATNAM HOSPITAL Drink plenty liquids
Dizziness Stand up Sit slowly or you mayTurn to a side feel giddy Dept of OBGYN...SATNAM HOSPITAL
Cravings Normal Do not eat unhealthy food Do not eat road-side food Eat frequent small meals Dept of OBGYN...SATNAM HOSPITAL
Mood swings Decrease stress Talk to friends & relatives Explain your mood changes to your spouse Read good books Listen to music Avoid horror movies, depressing T.V. progs Dept of OBGYN...SATNAM HOSPITAL
Other Common symptoms in 1sttrimester Increased frequency of urination. Excessive nausea & vomiting i.e. called Hyperemesis gravidum- it requires doctor consultation- due to excessive fluid loss from the body, patient may require iv fluid administration to prevent dehydration & generalised weakness. Spotting p/v: if increase in quantity, patient have to consult the doctor. To avoid these situation, avoid stress, transportation, sex & weight lifting. Rest is the most important in this trimester.
Common instruction: 1st trimester is the period when fetal oraganogenesis develop, it means all organs formation occur in this period like liver, kidney, brain etc. Avoid extra drug administration of your own for minor complains like headache, bodyache, acidity etc. because those medicines may leads to malformation or defects in organ development. Take medicines which are only advised by your doctors.
Doctors may prescribe supportive medicines like folic acid, hormonal treatment like Progesterone etc. Take these medicines regulalry without fail, it will be more important for this period. Chances of abortion in 1st trimester is about >10% so enough care to be taken.
Common symptoms in 2nd trimester Breast discomfort Backache Fetal movements starts Bleeding p/v
Breast discomfort Tender & sensitive Aerola darker Increased breast size Check for inverted nipple Wear comfortable & supportive bra Dept of OBGYN...SATNAM HOSPITAL
Backache - postures Dept of OBGYN...SATNAM HOSPITAL
Fetal organo-development occurs in this period, it means development of all organs occurs in this period. Fetal movement starts in 5th month. Average 15-16 movements/day should be occur. Kicking, jerky movements will be feel by patients. Blood investigations, ultrasonography etc are very important in this period according to doctor advise.
This trimester is more safer than both 1st & 3rd trimester. In 1st & 3rd trimester bleeding p/v is more common, so weight lifting & sexual intercourse should be avoid. Sexual intercourse is more safer in this trimester. Only one has to take precaution that lateral position is preferrable.
Alarming signs to visit the consultant Edema Decrease fetal movement. Excessive vomiting/ Anorexia Giddiness, dizziness. Bleeding p/v or leaking p/v. Decrease urine outputIn all these situation, immediately consult the doctor.
Leg cramps Occur suddenly Mostly in last months Massage area Point foot & toes towards face Increase calcium in diet, e.g. milk, milk products Exercise regularly Dept of OBGYN...SATNAM HOSPITAL
Itching & Stretch marks Heaviness, pressure or itching sensation on tummy Coconut oil, Vit E oil or stretch creams Stretch marks fade into fine silvery medals of motherhood Also on breasts, bottoms, thighs Dept of OBGYN...SATNAM HOSPITAL
Constipation Common in pregnancy Avoid straining or sitting long time on a toilet. Drink plenty waterEat grain, fruits, vegetables Avoid fatty foods Dept of OBGYN...SATNAM HOSPITAL
Sleeplessness at night Decrease stress Avoid tea/coffee/aerated drinks in evening Have a cup of warm milk before sleeping Have a warm bath before sleeping Do not sleep in afternoon Dept of OBGYN...SATNAM HOSPITAL
Common instruction Avoid watching horror movies, violent movies etc. Avoid to read filmy magazines like filmfare, stardust etc. Avoid excessive use of mobiles. Start watching nice family movies, read good books & magazines like chitralekha, abhiyan, religious books etc., keep in touch with good people, try to remain happy all the time. These all effects more to your baby.
Cereals Dalia Rotis-add soya/nachani flour to wheat flourMake parathas by mixingdifferent flour like besan, Mix different cereal & pulses e.g. idli, dosawheat or jowar e.g. mooli, gobi of OBGYN...SATNAM HOSPITAL Dept
Fruits & VegetablesRich in vitamins, fibre & minerals 2-4 servings daily 3-5 servings daily Dept of OBGYN...SATNAM HOSPITAL
Calcium Curds Cheese Paneer Rasgulla 3 glasses of milk a day in any form Milkshakes Dept of OBGYN...SATNAM HOSPITAL Buttermilk/lassi
Fats Oil, ghee & sweets in small quantity Fats help in absorption of Vit. A, D, E, K. 1 tablespoon of ghee = 15gms = 135 calories Visible fat intake should be increased during pregnancy and lactation to 30 gm & 45gm resp. Dept of OBGYN...SATNAM HOSPITAL
Sweets Sweets in small quantity Avoid sugar, use jaggery instead Avoid Have raisins, tea/coffee, chickoo, cakes, honey, dates chocolates, mithai Dept of OBGYN...SATNAM HOSPITAL
Water & Salt Take 8 -10 glasses of water atleast Reduce salt intake - salt leads to high blood pressure, swollen hands & feet Eat at regular intervals Do not fast or feast Dept of OBGYN...SATNAM HOSPITAL
FAST FOOD ITEMS TO AVOID Dept of OBGYN...SATNAM HOSPITAL
Tips - Diet Use jaggery instead of sugar Steaming is best method of cooking Frying, reheating cause loss of nutrients Do not use sugar substitutes Dept of OBGYN...SATNAM HOSPITAL
Tips - Diet Avoid excess of oil/ghee in cooking Avoid excess of chilly & salt Avoid maida & sugar base products e.g. cakes, bread, jam, jalebis Have a balanced diet Have frequent small meals Dept of OBGYN...SATNAM HOSPITAL
Avoid Smoky atmosphere Soft drinks High heels Lifting heavy weights Dept of OBGYN...SATNAM HOSPITAL
Cleanliness Trim nails regularly as they grow faster Bathe regularly - prevents infection Keep vaginal area clean Brush regularly after meals Dept of OBGYN...SATNAM HOSPITAL
Cleanliness Breast care - wear well fitting bra Wear low heeled shoes Do not wear tight clothes Wear clothes according to the climatic conditions Dept of OBGYN...SATNAM HOSPITAL
When should you gain weight ? 1st trimester :1kg 2nd trimester :5kg 3rd trimester :5kg Total :11kg minimum Dept of OBGYN...SATNAM HOSPITAL
Work & Pregnancy Age (older mothers may have more problems) General health (anaemia, DM, high BP) Pregnancy progress (weight of the baby, complications) Prior pregnancy problems (bleeding, preterm, IUGR) Dept of OBGYN...SATNAM HOSPITAL
Work & Pregnancy Type of work you do (sedentary, tours, sleep) Hours of work (regular, irregular) Work risk factors (travel, food habits, stress, chemical) Dept of OBGYN...SATNAM HOSPITAL
Pregnancy & work Morning sickness • Plan timely departure Don’t skip meals • Avoid taking stress Drink lots of water • Maternity Leave Moderate exercise • Getting enough sleep Posture at work Dept of OBGYN...SATNAM HOSPITAL
Sex in pregnancy Depending on your health, speak to your doctor Growing abdomen, increase breast sensitivity – change position Avoid sex if you have Unexplained bleeding History of miscarriage or preterm labour Pregnant with twins or triplets Placenta previa Sexual intercourse or breast stimulation can start labour Dept of OBGYN...SATNAM HOSPITAL
Travel in pregnancy Avoid long journeys Avoid crowded transportSafe in 4-6 months only Dept of OBGYN...SATNAM HOSPITAL
Travel- after doctors advice Dept of OBGYN...SATNAM HOSPITAL
Types of delivery Normal delivery Forceps delivery Vaccum delivery Lscs Dept of OBGYN...SATNAM HOSPITAL
Labour pains False Labour True LabourTiming of Irregular, no increase in Regular, 4-6 minContractions frequency apart, increase in frequencyStrength of Weak; not stronger with Stronger with time,Contractions time feels vaginal pressurePain with Felt in the front only Starts in the back &Contractions moves to the frontPosition Contractions stop/slow if Contractions continueChange & you walk/lie down/ inspite of positionHydration change position/ changes/ increase increase fluid intake fluid intake Dept of OBGYN...SATNAM HOSPITAL
So….When to getadmitted at HospitalRegular Pain, Starts inthe back & moves tothe front / 4-6 minapart, increase infrequency/presence ofShow Dept of OBGYN...SATNAM HOSPITAL
Try to establish Rapo with doctor & hospital staff during 9 month consultation, so that you don’t get any nervousness or hesitation during delivery in unknown atmosphere. Visit the labor room prior to hospitalization, if possible & be familiar with nursing staff also.
Proper time of admission When patient starts backache & show. While going to hospital, avoid heavy diet, take liquid & soft diet more. During the last 15 days of pregnancy keep a plastic bag ready with all files-medical papers and medicines ready-so that it can be taken to the hospital if when labor pains starts…. One male family member should accompany with patient, so he will be ready to take medicines from pharmacy or any other requirements during delivery.
When get admission, give proper details of patient like name of patient, husband’s name, surname & exact address of residence. So, that registration of birth will be proper. Collect birth certificate within one month of delivery.
Medical emergency Pain may occur regularly at repeated intervals Leaking of watery fluids from vagina, even if there is no pain Swelling of feet & hands Bleeding from vagina Decreased/Loss of fetal movement Dept of OBGYN...SATNAM HOSPITAL
Thank You Very MuchCreation and Presentation Dr.Sudhir Shah Dr.Beena Trivedi Dr.Arti Gangdev Mrs.Shweta Antani Dept of OBGYN...SATNAM HOSPITAL